The NICE guidelines that Dr Shah's article highlights include many important elements of care other than home birth. In fact only the minority of women in Britain deliver at home. Many appropriate low risk patients, however, do have care with midwives either within hospital based units or within freestanding or "alongside" birth centers. Separate from discussion and debate about home birth, what other lessons can we learn from our colleagues in Britain and what other elements of their system can we adopt here?

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